Organization
ALBANY GENERAL HOSPITAL
Active
Other names
Samaritan Breast Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TRIEBES (CEO)
(541) 812-4102
Entity
Organization
Contact information
Practice address
631 ELM ST SW, SUITE 202, ALBANY, OR 97321-1952
(541) 812-5094
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
(541) 812-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
01/14/2015
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